What EBP tool is used to identify the patient's risk of pressure injury?, MSST, Morse, Braden, BCAM, A stage one pressure injury is non-blanchable skin that is?, Intact, Non-intact, Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon or purple discoloration or epidermal separation revealing a dark wound bed or blood filled blister?, Stage 3, Stage 4, Deep Tissue Injury, Medical Device Related Pressure Injury, How many layers of tissue make up the skin ?, three, four, five, six, The Braden Scale examines the impact of risk factors for pressure injury. How many risk factors are considered?, four, five, six, seven, All acute care patients identifed as "at risk" will have a score of ____ or less., 18, 16, 14, 12, Which of the following are included in the the skin care bundle?, risk assessment, incontinence management, turn & reposition, nutrition & hydration assessment, All the above, When reviewing the patients risk factors related to co-morbidities, which of the following does not greatly impact risk of pressure injury?, Diabetes Type 2, End Stage Renal Disease, Spinal Cord Injury, Peripheral Vascular Disease, Anemia, Dementia, Which of the following medications impede wound healing?, Steroids, Chemotherapy, NSAIDS, Nicotine, All the above, A wound care consult would be appropriate for which of the following concerns?, surgical wound, skin tear from PTA fall, Pressure injury stage 2 or greater, wound vac placed by surgical team.

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